Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Justin D Atherton, DO

Individual provider Surgery Physician · NPI 1386876167

Justin D Atherton, DO is a General Surgery in Draper, Utah. Qualified in 2009, 17 years ago. Practices with Mountainstar Specialty Services LLC, a 29-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
17
Licensed in
UT
In the registry since
2009
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

96 E Kimballs Ln Ste 306
Draper, UT 84020-5021
Phone: (801) 999-2432
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 8986480-1204 (UT)

Record details

NPI number1386876167
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 13, 2009
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025
Mailing addressPo Box 100253, Atlanta, GA 30384-0253

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Mountainstar Specialty Services Llc — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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